Cervical & Lumbar Exam Flashcards Preview

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Flashcards in Cervical & Lumbar Exam Deck (56)
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1

Chief Complaints of the Cervical Spine

Posterior neck pain
Upper trap/shoulder pain
Pain between the shoulder blades
Weakness
Alterations in fine motor control
Numbness: specific or generalized
Ataxic gait

2

Things to Observe of the Patient's Movements & Actions

General appearance
Abnormal pain behaviors
Mood & affect
Gait

3

Inspection of the Cervical Spine

Skin
Posture

4

Palpation of the Cervical Spine

Cervical point tenderness
Muscle spasms
Lymphadenopathy

5

Range of Motion for the Cervical Spine

Flexion
Extension
Lateral bending
Rotation

6

Sensory Testing Area for C5

Lateral upper arm

7

Sensory Testing Area for C6

Lateral forearm

8

Sensory Testing Area for C7

Middle finger

9

Sensory Testing Area for C8

Ulnar border of the hand

10

Sensory Testing Area for T1

Medial upper arm

11

Grades of Muscle Strength & Description

5/5: normal power
4/5: active movement against gravity with resistance
3/5: active movement against gravity
2/5: active movement without gravity
1/5: trace or flicker of movement
0/5: no movement

12

Muscle Strength Testing of C5

Deltoids
Biceps

13

Muscle Strength Testing of C6

Biceps
Wrist extension

14

Muscle Strength Testing of C7

Wrist extension
Wrist flexors
Triceps
Finger extension

15

Muscle Strength Testing of C8

Finger flexion

16

Muscle Strength Testing of T1

Intrinsics (fanning fingers)

17

Special Cervical Spine Tests

Axial loading
Foraminal compression test (Spurling's)
Hoffman's Reflex

18

What is a positive Spurling's sign?

Pain radiates to arm toward which head is side flexed

19

Describe Hoffman's Reflex

Have the hand relax
Flick the end of the middle finger
(+) other fingers may flex

20

What does a positive Hoffman's reflex reflect?

Presence of an upper motor neuron lesion from spinal cord compression

21

Reflex for C5

Biceps

22

Reflex for C6

Brachioradialis

23

Reflex for C7

Triceps

24

Reflex for C8

None

25

Range of Motion of the Shoulder

Flexion
Extension
Abduction
Internal rotation
External rotation
Across the chest

26

Chief Complaints of Lumbar Vertebrae

Back pain
Buttock pain
Leg pain
Weakness
Numbness/tingling

27

Inspection of the Lumbar Spine

Skin
Muscle spasms
Posture

28

Palpation of the Lumbar Spine

Point tenderness
Trochanteric tenderness
SI joint pain

29

Range of Motion of the Lumbar Spine

Flexion
Extension
Lateral bending
Rotation

30

Tests for Gait

Tip toe walking
Heel walking
Tandem gait (drunk driver test)